Individual provider · Type 1 NPI
Jennifer Mary Waters, NP
Gerontology Nurse Practitioner · New Haven, CT
NPI number
1356809222
Active
Practice location
20 York St
New Haven, CT 06510-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 8125 (CT) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 8125 (CT) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1356809222
Jennifer Mary Waters, NP's National Provider Identifier is 1356809222, issued on Mar 8, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New Haven, CT. The record was last updated on Nov 6, 2019.